Purpose: The internet has become a primary source for patients seeking healthcare information, but the quality of online information, particularly in orthopaedics, often falls short. Orthopaedic surgeons now have the added responsibility of evaluating and guiding patients to credible online resources. This study aimed to assess ChatGPT's ability to identify deficiencies in patient information texts related to total hip arthroplasty websites and to evaluate its potential for enhancing the quality of these texts.Methods: In August 2023, 25 websites related to total hip arthroplasty were assessed using a standardized search on Google. Peer‐reviewed scientific articles, empty pages, dictionary definitions, and unrelated content were excluded. The remaining 10 websites were evaluated using the hip information scoring system (HISS). ChatGPT was then used to assess these texts, identify deficiencies and provide recommendations.Results: The mean HISS score of the websites was 9.5, indicating low to moderate quality. However, after implementing ChatGPT's suggested improvements, the score increased to 21.5, signifying excellent quality. ChatGPT's recommendations included using simpler language, adding FAQs, incorporating patient experiences, addressing cost and insurance issues, detailing preoperative and postoperative phases, including references, and emphasizing emotional and psychological support. The study demonstrates that ChatGPT can significantly enhance patient information quality.Conclusion: ChatGPT's role in elevating patient education regarding total hip arthroplasty is promising. This study sheds light on the potential of ChatGPT as an aid to orthopaedic surgeons in producing high‐quality patient information materials. Although it cannot replace human expertise, it offers a valuable means of enhancing the quality of healthcare information available online.Level of Evidence: Level IV.
20 September 2021 in European Journal of Orthopaedic Surgery & Traumatology
Introduction: Sarcopenia is defined as a progressive loss of muscle mass and function with increased age. The measurement of muscle mass and attenuation on the axial computed tomography (CT) scan has been reported to be a good indicator for sarcopenia in previous literature. This study aimed to compare muscle mass between the intertrochanteric fracture and femoral neck fracture groups by accurately measuring muscle mass around the hip joint using a CT scan. Methods: The cases were matched according to age and gender on a 1-to-1 basis. As a result, a total of 400 patients, 200 patients in each group with the same age and gender characteristics, were included in the study. At the disc of L4-L5 level, the cross-sectional area (CSA) of the psoas muscle was evaluated, and at the disc of L5-S1 level, the CSA of the psoas, iliacus and gluteus medius muscles were evaluated. In addition, attenuation was evaluated using the average Hounsfield Unit (HU) for the specific area. Results: The mean age of 400 patients (262 females, 138 male) included in the study was 78.49 ± 7.67 years. It was observed that the mean HU values of the patients in the femoral neck fracture group were significantly higher than the intertrochanteric fracture group ( p < 0.001, p = 0.008; respectively). At the same time, the mean HU values of the gluteus medius muscle were higher in the femoral neck fracture group ( p < 0.001), but in contrast with the psoas muscle, the CSA values of gluteus medius muscle were significantly higher in the intertrochanteric fracture group ( p = 0.017). Conclusions: Fatty degeneration of the psoas muscle among the muscles around the hip may affect the type of hip fracture. Elderly patients with strong psoas muscles may experience femoral neck fracture due to contraction and torsion during falling.
1 May 2022 in The Journal of Foot and Ankle Surgery